Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › ESSEN MEDICAL ASSOCIATES, PC

ESSEN MEDICAL ASSOCIATES, PC

NPI: 1366418709 · BRONX, NY 10453 · Diagnostic Radiology Physician · NPI assigned 02/26/2006

$37.33M
Total Medicaid Paid
701,301
Total Claims
584,865
Beneficiaries
236
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSAHGAL, SUMIR (OWNER OF CORP)
NPI Enumeration Date02/26/2006

Related Entities

Other providers sharing the same authorized official: SAHGAL, SUMIR

ProviderCityStateTotal Paid
ESSEN MEDICAL URGICARE, PLLC BRONX NY $41.90M
HOUSE CALL MEDICAL SERVICES OF NEW YORK, PLLC BRONX NY $3.53M
BRONX MEDICAL PRACTICE P.C. BRONX NY $712K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60,661 $2.76M
2019 72,546 $2.74M
2020 78,406 $3.27M
2021 114,772 $5.36M
2022 128,305 $6.97M
2023 143,169 $8.65M
2024 103,442 $7.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 110,646 97,579 $6.05M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 71,105 63,254 $5.61M
99442 53,164 48,247 $2.81M
99443 24,749 22,628 $2.02M
93922 9,637 9,476 $1.25M
99490 Ccm add 20min 35,758 35,699 $1.13M
36465 1,283 821 $1.12M
90832 Psychotherapy, 30 minutes with patient 24,176 11,339 $1.05M
99308 Subsequent nursing facility care, per day, straightforward 19,412 6,469 $1.00M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8,600 8,359 $1.00M
95923 10,304 10,297 $988K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,416 10,229 $844K
99309 Subsequent nursing facility care, per day, low to moderate complexity 11,695 5,441 $806K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,477 6,805 $734K
93925 3,896 3,893 $723K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,314 4,293 $696K
95921 9,526 9,522 $631K
93970 4,319 4,295 $607K
99441 15,042 14,086 $524K
90834 Psychotherapy, 45 minutes with patient 7,236 3,746 $481K
93923 3,970 3,955 $435K
90791 Psychiatric diagnostic evaluation 3,457 3,394 $354K
99401 16,891 15,053 $343K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,162 4,150 $339K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,721 3,660 $329K
97530 Therapeutic activities, direct patient contact, each 15 minutes 10,323 3,667 $320K
99244 Office or other outpatient consultation, moderate to high complexity 1,908 1,853 $286K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,292 4,278 $279K
92250 6,685 6,660 $268K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,921 2,876 $263K
99385 2,479 2,412 $242K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,733 6,381 $221K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 767 766 $212K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 6,329 6,299 $204K
99386 1,485 1,441 $170K
93924 1,208 1,207 $153K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 693 693 $145K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 5,928 5,884 $133K
T1013 Sign language or oral interpretive services, per 15 minutes 13,202 11,450 $126K
93971 1,258 770 $115K
99306 Prolong nursin fac eval 15m 826 778 $98K
76830 Ultrasound, transvaginal 1,004 1,001 $92K
95911 606 561 $91K
J2785 Injection, regadenoson, 0.1 mg 416 416 $82K
95886 574 532 $82K
97162 1,677 1,665 $81K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,826 1,788 $77K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,123 3,232 $76K
99243 713 705 $73K
97032 14,158 5,221 $71K
11721 2,255 2,253 $65K
93975 290 290 $64K
90460 Immunization administration through 18 years of age via any route, first or only component 2,743 2,687 $63K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,688 3,644 $56K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 855 416 $50K
93000 3,621 3,537 $50K
92015 Determination of refractive state 9,776 9,735 $45K
93015 843 842 $43K
92133 1,444 1,442 $40K
97161 826 823 $39K
11755 406 402 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,041 1,912 $33K
77067 Screening mammography, bilateral, including computer-aided detection 333 333 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 559 558 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 390 386 $32K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 116 116 $32K
90756 2,559 2,547 $30K
93880 226 226 $30K
99215 Prolong outpt/office vis 245 234 $28K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 889 835 $26K
92083 564 564 $24K
93351 142 142 $24K
99254 176 125 $23K
70551 Magnetic resonance imaging, brain; without contrast material 84 84 $20K
93356 1,098 1,098 $19K
V5008 Hearing screening 883 883 $18K
92557 701 695 $18K
36415 Collection of venous blood by venipuncture 9,226 8,766 $18K
76700 Ultrasound, abdominal, real time with image documentation; complete 308 307 $18K
99205 Prolong outpt/office vis 132 131 $17K
81025 4,200 3,651 $17K
92134 536 535 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,074 829 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 313 312 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 125 123 $15K
77063 Screening digital breast tomosynthesis, bilateral 330 330 $13K
76641 139 137 $13K
93040 2,637 2,636 $13K
99232 Subsequent hospital care, per day, moderate complexity 279 80 $13K
99307 386 306 $13K
99233 Prolong inpt eval add15 m 140 39 $13K
90837 Psychotherapy, 53 minutes with patient 176 132 $13K
99253 159 134 $12K
98960 436 433 $12K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 43 41 $11K
A4556 Electrodes, (e.g., apnea monitor), per pair 1,678 1,637 $10K
99406 1,312 1,157 $10K
99457 662 656 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 70 66 $8K
97803 653 617 $8K
J1756 Injection, iron sucrose, 1 mg 581 271 $8K
97802 409 408 $8K
92020 397 397 $7K
76536 77 75 $7K
95819 17 17 $6K
71271 52 52 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 649 649 $6K
76942 110 98 $6K
31231 33 33 $6K
93272 227 226 $5K
90472 Immunization administration, each additional vaccine (list separately) 265 262 $5K
97164 194 183 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 97 94 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 38 37 $5K
90461 140 140 $5K
92132 172 172 $4K
99245 25 25 $4K
71046 Radiologic examination, chest; 2 views 150 149 $4K
99454 188 188 $4K
93270 491 489 $4K
73630 139 125 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 810 751 $3K
93320 78 78 $3K
73560 115 75 $3K
99383 37 37 $3K
31575 33 33 $3K
94060 63 61 $3K
76377 64 64 $3K
S9451 Exercise classes, non-physician provider, per session 672 569 $3K
99310 Prolong nursin fac eval 15m 21 13 $3K
99423 65 62 $3K
92202 197 196 $2K
99497 114 113 $2K
94621 25 25 $2K
92201 102 102 $2K
93325 95 95 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 89 89 $2K
94010 94 94 $2K
90658 167 167 $2K
99252 52 36 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $2K
99316 24 24 $2K
93350 12 12 $2K
90836 41 41 $2K
99384 24 24 $2K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $2K
95800 69 57 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 82 73 $2K
99397 15 14 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 149 106 $1K
99458 83 83 $1K
99382 13 13 $1K
99459 61 60 $1K
57150 28 28 $1K
99402 38 37 $1K
72100 34 34 $1K
S9452 Nutrition classes, non-physician provider, per session 126 125 $933.80
99305 12 12 $929.82
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 14 14 $916.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 170 130 $908.60
94726 27 26 $886.66
1126F 442 395 $838.31
82947 232 195 $804.04
99422 61 58 $795.85
96127 245 243 $794.47
94760 404 365 $696.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required 227 227 $686.18
76775 13 13 $666.38
20610 12 12 $648.58
99051 202 193 $647.53
90674 26 26 $586.70
36410 83 83 $499.09
73030 15 14 $482.46
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $458.13
90651 25 25 $411.04
99173 520 520 $398.80
99421 49 48 $397.08
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 26 26 $380.34
3078F 2,175 1,987 $374.97
99348 27 27 $370.87
11720 26 25 $351.94
1125F 363 313 $336.10
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 9,648 8,127 $336.01
3074F 2,511 2,283 $296.00
1111F 654 537 $286.06
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31 31 $252.13
Q3014 Telehealth originating site facility fee 44 44 $234.74
G8783 Normal blood pressure reading documented, follow-up not required 3,133 2,728 $177.63
1036F 1,739 1,568 $176.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 831 648 $163.54
G0008 Administration of influenza virus vaccine 13 13 $154.57
J1245 Injection, dipyridamole, per 10 mg 58 58 $152.72
92567 13 13 $135.36
G8754 Most recent diastolic blood pressure < 90 mmhg 147 128 $102.89
2000F 692 585 $102.89
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 19 19 $85.74
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12 12 $63.54
92551 23 23 $63.28
94761 102 102 $59.50
83986 37 37 $57.46
97010 305 128 $50.94
G9903 Patient screened for tobacco use and identified as a tobacco non-user 3,543 3,174 $47.25
G9744 Patient not eligible due to active diagnosis of hypertension 15 12 $45.50
81002 12 12 $22.79
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 43 42 $14.00
99072 3,117 2,339 $11.25
G8752 Most recent systolic blood pressure < 140 mmhg 45 39 $1.75
1159F 2,591 2,262 $0.00
99499 1,641 1,085 $0.00
3077F 495 451 $0.00
1160F 1,976 1,767 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 44 42 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 238 218 $0.00
3725F 191 190 $0.00
G8482 Influenza immunization administered or previously received 48 45 $0.00
G8785 Blood pressure reading not documented, reason not given 87 87 $0.00
4004F 18 17 $0.00
3046F 18 14 $0.00
3051F 14 13 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 700 646 $0.00
3080F 219 208 $0.00
3075F 396 385 $0.00
2010F 197 184 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 184 160 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 575 533 $0.00
90686 12 12 $0.00
3079F 962 910 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 673 593 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 278 253 $0.00
3008F 265 259 $0.00
0001F 19 15 $0.00
2023F 66 66 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 41 37 $0.00
3044F 109 103 $0.00
G8756 No documentation of blood pressure measurement, reason not given 13 12 $0.00
3017F 12 12 $0.00